Organization Active NPI

Wellness Ethos Chiropractic LLC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1972371029
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS ETHOS CHIROPRACTIC LLC
Practice address
3259 E Sunshine St Ste DD2
Springfield, MO 65804-2143
Phone
(417) 730-9233
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Suh, DC
Title
Owner
Phone
(417) 894-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3259 E Sunshine St Ste DD2
Springfield, MO 65804-2143

Mailing address

3259 E Sunshine St Ste DD2
Springfield, MO 65804-2143
Phone (417) 730-9233

National Provider Directory

National Provider Directory

Locations

3259 E Sunshine St
Ste DD2
Springfield, MO 65804
Phone (417) 730-9233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1972371029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 E SUNSHINE ST STE DD2",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042143",
            "telephone_number": "417-730-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 E SUNSHINE ST STE DD2",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042143",
            "telephone_number": "417-730-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ETHOS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-894-8514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.